CVS Health

Growth Marketing

• Deliver strategic and technical product support through the sales process to achieve revenue, customer, membership, and profit earnings growth
• Align policies and procedures for the Product, Innovation & Delivery team (PID) with organizational goals
• Collaborate with cross-functional teams to ensure seamless communication and coordination between sales, marketing, and customer support departments
• Partner with product owner(s) and other key stakeholders to support growth initiatives for priority products within the PID portfolio
• Help identify and support growth opportunities across target segments
• Under direction of product owner, support product launches, pilots, enhancements and adoption initiatives through structured enablement efforts
• Partner with product owner(s), sales and marketing to develop client-specific product narratives and value propositions
• Identify gaps, risks and dependencies early, enabling proactive solutions that protect growth timelines and product credibility
• Develop and maintain product-specific enablement collateral such as product playbooks, FAQs, pitch decks and use case documentation

Senior Manager, Outcomes Reporting – Product Growth Enablement

Compliance

• Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, including risk assessment, auditing and monitoring and corrective action oversight.
• Develop and manage compliance strategies, programs, and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks.
• Track, analyze, and work open issues in a timely manner
• Maintain in-depth working knowledge and expertise in Medicare regulations
• Build and maintain positive relationships at senior levels to drive decision-making and influence ethical and compliant outcomes
• Monitor and audit as outlined in Medicare Compliance Work Plan and direct other projects as assigned to evaluate compliance, propose remediation where necessary and monitor implementation of corrective action
• Support broader compliance initiatives and needs as assigned to ensure that effective compliance programs are achieved and maintained.

Senior Analyst, Medicare Compliance

Marketing

• Support partner and B2B marketing strategy and execution
• Support the development and execution of partner-focused go-to-market strategies across Health100’s key audiences, including pharmaceutical companies, health plans and PBMs, employers, pharmacies, and digital health partners
• Drive demand generation and pipeline-supporting marketing activities
• Help plan and execute campaigns and initiatives that generate awareness, drive lead generation, and support pipeline development in partnership with Sales and Commercial teams
• Own sales enablement content and infrastructure
• Develop, organize, and maintain the Health100 sales enablement library, ensuring materials are current, accessible, and aligned to partner priorities and sales needs
• Ensure field teams have the right tools, messaging, and content to effectively communicate value and support sales objectives
• Develop partner-focused messaging and materials
• Translate Health100 capabilities into clear, audience-specific value propositions and supporting materials (e.g., decks, sell sheets, FAQs, case studies) that resonate across partner segments
• Support launches and commercial readiness
• Partner cross-functionally to ensure partner-facing launches are well-coordinated, with aligned messaging, materials, and timelines across Marketing, Product, and Sales
• Act as a cross-functional connector
• Work across Product, Sales, Digital, and Enterprise teams to align priorities, surface needs, and ensure marketing and enablement efforts are cohesive and effective
• Incorporate commercial and field feedback to strengthen execution
• Gather and translate feedback from Sales and partner interactions to continuously improve messaging, materials, and go-to-market effectiveness

B2B Marketing Strategy Partner

• Deliver strategic product support through the sales process to achieve revenue, customer, membership, and profit earnings growth
• Align policies and procedures for the Product, Innovation & Delivery team (PID) with organizational goals
• Collaborate with cross-functional teams to ensure seamless communication and coordination between sales, marketing, and customer support departments
• Partner with product owner(s) and other key stakeholders to support growth initiatives for priority products within the PID portfolio
• Help identify and support growth opportunities across target segments
• Support product launches, pilots, enhancements and adoption initiatives through structured enablement efforts
• Partner with Analytics to lead the development of case studies and integration of metrics and quantifiable outcomes into collateral
• Support development of product-specific sales training for new products and features

Senior Manager, Product Growth Enablement

Manager

• Conduct comprehensive assessments (telephonic and face-to-face) to evaluate members’ medical, behavioral, and social needs
• Develop and implement personalized care plans that promote both short- and long-term wellness
• Coordinate care across providers, programs, and services to ensure a seamless experience for members
• Use clinical expertise and data insights to identify risks, gaps in care, and opportunities for intervention
• Support members with complex or multiple conditions by applying a holistic, whole-person approach
• Facilitate referrals to appropriate clinical and community resources
• Participate in case conferences and collaborate with multidisciplinary teams to optimize care strategies
• Review claims history and benefit eligibility to inform care planning
• Engage members using strong interviewing skills to build trust and encourage active participation in their care
• Ensure all case management activities comply with regulatory and organizational guidelines

Registered Nurse Case Manager – Field

Pharmacist

• Deliver compassionate care to patients
• Manage assigned pharmacy workstations and tasks
• Support the team’s ability to promptly and accurately fill prescriptions
• Provide caring service that exceeds customer expectations
• Complete CVS Pharmacy Technician Training Program
• Satisfy registration, licensing, and certification requirements
• Maintain patient confidentiality and ethical conduct

Pharmacy Technician

• Conduct face‑to‑face home visits using comprehensive assessment tools for members enrolled in Managed Long‑Term Services and Supports (MLTSS) and/or Dual Special Needs Programs (D‑SNP/FIDE)
• Perform in‑person assessments for non‑MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment)
• Successfully complete and maintain NJ Choice Certification (required for continued employment)
• Work with diverse populations, including pediatric and medically complex members
• Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams
• Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services
• Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost‑effective manner
• Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record
• Utilize strong critical‑thinking and problem‑solving skills in daily work
• Mentor new staff once appropriate proficiency has been achieved

QA Engineer

• A Quality Assurance Senior Analyst reviews business requirements and translates them into clear, actionable test cases for manual execution
• The analyst ensures that system changes fully address user needs and business requirements prior to release
• By collaborating closely with business users and development teams, the analyst helps resolve issues and verifies solutions through re-testing
• The analyst communicates test results and insights clearly to stakeholders
• records and tracks defects discovered during testing
• participates in resolving them by designing and executing retest cases as needed
• Additionally, the analyst actively participates in meetings with both internal and external customers

Senior Quality Assurance Analyst

Analyst

• The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits.
• This may include outreach to pharmacies and prescribers.
• The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status.
• Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.
• Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health.
• Partners with members to identify opportunities for integration into available internal/external programs.
• Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives.
• Interprets and utilizes guidelines/criteria to positively impact members health.
• Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her health status.
• Helps member actively and knowledgably participate with their provider in healthcare decisions.
• Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.
• Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration.

Senior Analyst, Health Coach Wellness

• member assessment & care planning
• conduct comprehensive evaluations of members’ health needs using care management tools and data analysis
• identify risk factors and service needs affecting outcomes
• develop, coordinate, and implement individualized care plans
• connect members with internal resources and community-based services
• care coordination & advocacy: collaborate with interdisciplinary teams, including Medical Directors and care managers
• facilitate case conferences to ensure optimal care outcomes
• advocate for appropriate services and remove barriers to care
• use motivational interviewing techniques to drive member engagement and behavior change
• quality & outcomes improvement: monitor care plans and adjust as needed
• identify and escalate quality-of-care concerns
• empower members to actively participate in healthcare decisions
• support members in achieving long-term health and lifestyle goals
• compliance & documentation

Consultant

• Utilizes a collaborative process of assessment, planning, implementation and evaluation.
• Engages, educates, and promotes/influences members decisions related to achieving and maintaining optimal health status.
• Facilitates effective health care decision-making.
• Improves the quality of care.
• Improves member satisfaction with their health care plan.
• Facilitates appropriate use of health care resources.
• Provides up-to-date health care information and assistance by clarifying available options for health problems.
• Promotes healthy lifestyles to help lower personal health risks.

Health Coach Consultant

• This is a full-time telework role for a CDCES registered nurse
• Candidate must reside in a compact state and hold a compact license
• Must have experience working with patients with diabetes
• Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST
• Rotating Fridays and Saturdays will be required approximately two times per quarter following training
• The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence members' decisions related to achieving and maintaining optimal health status for chronic conditions
• Assessment of members through the use of clinical tools and information/data review, conducting comprehensive evaluation of members' needs and benefit plan eligibility for available integrated internal and external programs/services
• Utilizes assessment techniques to determine members' level of health literacy, technology capabilities, and/or readiness to change
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Health Coach Consultant – Registered Nurse

Therapist

• After fully trained (90 day training period) and meeting expectations, this position is 100% work from home.
• Medication Therapy Management (MTM) pharmacists with advanced training, Board Certifications or similar credentials to work in a progressive area where pharmacists provide MTM services directly to patients.
• The clinical pharmacist works in a multidisciplinary practice and collaborates with team case managers.
• The pharmacist provides one-on-one phone/video based consultations with commercial and Medicare Part D plan members.
• The pharmacist may be responsible for assisting with the intake/enrollment process.
• The pharmacist will consult with the patient to identify, resolve and prevent medication related problems.
• The pharmacist assesses each of the patient's medications for indication, effectiveness, and safety and adherence issues and incorporates lab data in the assessment process, when available.
• The pharmacist will prepare a medication summary and personal care plan with recommendations for the patient to share with their medical providers.
• The pharmacist will follow up with the patient to monitor the patient's drug therapy and to ensure positive outcomes as appropriate.

Pharmacist – Medication Therapy Management

Customer Support

• Actively listen and be an advocate for customers
• Resolve customer inquiries and issues efficiently
• Educate customers about available resources and assist them in navigating their options
• Anticipate customer needs and provide proactive solutions to enhance satisfaction
• Collaborate with team members and other departments to address service issues

Customer Service Representative

• Conduct comprehensive in-home LTSS assessments to determine eligibility for waiver and community-based services.
• Complete and submit required waiver documentation in accordance with state Medicaid and health plan guidelines.
• Develop and implement individualized, person-centered plans of care addressing medical, behavioral, functional, and social determinant needs.
• Apply clinical judgment to identify risk factors, prevent avoidable hospitalizations, and reduce barriers to care.
• Coordinate services across interdisciplinary teams including providers, home health agencies, behavioral health, and community organizations.
• Review claims data, clinical records, and assessment tools to evaluate member needs and benefit utilization.
• Monitor member progress and reassess needs based on changes in condition or level of care.
• Present cases at interdisciplinary team (ICT) meetings and collaborate with supervisors and stakeholders to ensure goal attainment.
• Ensure compliance with Medicaid waiver requirements, CMS regulations, state LTSS guidelines, and company policies.
• Document all case management activities in accordance with regulatory and accreditation standards.
• Educate members and caregivers regarding benefits, services, and available community resources.

Senior Manager, Outcomes Reporting – Product Growth Enablement

Senior Analyst, Medicare Compliance

B2B Marketing Strategy Partner

Senior Manager, Product Growth Enablement

Registered Nurse Case Manager – Field

Pharmacy Technician

Registered Nurse Case Manager – Field

Senior Quality Assurance Analyst

Senior Analyst, Health Coach Wellness

Registered Nurse Case Manager – Field

Health Coach Consultant

Health Coach Consultant – Registered Nurse

Pharmacist – Medication Therapy Management

Customer Service Representative

Case Manager, Registered Nurse – LTSS